Individual provider Active NPI

Kimberly Ann Riggi, FNP

  • Family Nurse Practitioner
  • Ballston Lake, NY
National Provider Identifier
1366942385
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342693 Issued in NY
Practice address
1184 State Route 50
Ballston Lake, NY 12019
Phone
(518) 384-1281
Fax
(518) 384-0321
NPI assigned
Feb 16, 2018
Last updated
May 15, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 342693 NY Primary

Addresses

Primary practice location

1184 State Route 50
Ballston Lake, NY 12019

Mailing address

711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700

Other identifiers 1

IdentifierTypeStateIssuer
05054628MedicaidNY

Other names 1

  • Kimberly Ann Angiolini Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180405002602 NY Practitioner - Nurse Practitioner 8224391131 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Physicians PLLCGroup PAC ID 8022904473, 361 clinicians

Practice addresses (Care Compare)

1184 State Route 50
Ballston Lake, NY 12019-1923
Phone (518) 384-1281

9 Clifton Country Rd
Suite 4
Clifton Park, NY 12065-3833
Phone (518) 205-8440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
342693NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Healthcare Services PLLC Current Accepting new patients
Hospitalist Healthcare Services PLLC CurrentSince May 6, 2018 Accepting new patients
Community Care Physicians, PLLC CurrentSince Mar 21, 2018 Accepting new patients
Kimberly Riggi Family Health Nurse Practitioner PLLC Family CurrentSince Sep 1, 2025 Accepting new patients
Community Care Physicians, PC Past Accepting new patients
Community Care Physicians, PC PastSince Mar 21, 2018 Accepting new patients
R.G. Psychological Services, P.C. Past Accepting new patients

Locations

1184 State Route 50
Burnt Hills, NY 12019
Phone (518) 384-1281

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

820 Albany Shaker Rd
Loudonville, NY 12211
Phone (518) 869-2231

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

Interoperability endpoints

  • Direct secure messaging: kimberlyriggi@ccp.allscriptsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1366942385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 203",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 STATE ROUTE 50",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "12019",
            "telephone_number": "518-384-1281",
            "fax_number": "518-384-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGI",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05054628",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ANGIOLINI",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ballston Lake, NY

Sources for this page

Verify at the official NPI Registry.